CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Lincoln Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $109
Cash Discount Price: $123
vs. Medicare Baseline: 8.14x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Lincoln Hospital is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 8.14x the Medicare baseline. Located in 10 Nichols Street, Davenport, WA.

Cash / Self-Pay

$123

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$13.39

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13.39 (100%)

Cash / Self-Pay: $123 (919%)

Insurance Median: $109 (814%)

Cash: $123 (919% of Medicare)

Ins. Median: $109 (814% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13.39 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 814% of the Medicare baseline (a markup of 714%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Labor & Industries - All Plans	$26	194%
Ambetter / Centene	$64	478%
Molina Hlthy Options	$64	478%
UnitedHealthcare	$64 - $121	478%
Amerigroup Mcaid - All Plans	$68	508%
Aetna	$77 - $130	575%
Indian Hlth Services - All Plans	$77	575%
Tricare	$77	575%
Va Ccn - All Plans	$77	575%
Cigna	$105	784%
Molina Exchange-All Other Plans	$109	814%
Focus Healthcare Mgmt - All Plans	$110	822%
Blue Cross Blue Shield	$121	904%
Uniform Medical Plan-All Plans	$121	904%
First Health Coventry-All Plans	$122	911%
Health Management Network-All Plans	$123	919%
Three Rivers-All Plans	$123	919%
Asuris Nw Health-All Plans	$126	941%
Multiplan-All Plans	$130	971%
Physician Hosp Comm Org-All Plans	$130	971%
First Choice Health- All Plans	$133	993%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $123.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80061.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lincoln Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80061.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.